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PERM Tracker

All sponsors · #294 of 71,512 by volume

Cosmic Healthcare, LLC

127 PERM filings in DOL's current disclosure window, 126 certified and 0 denied. Name as DOL prints it, which is the legal entity on the form.

Filings

127

#294 of 71,512

Certified

126

0 denied

Approval

100.0%

field 96.8%

Median wage

—

not on file

Median days

455

10 faster than the field

Fig 01 In the queue right now 187 cases in the live tracker

Waiting on a decision

46

of 187 tracked cases. The other 141 have been decided.

The oldest one still waiting was filed November 14, 2025, 9 months ago.

Where those 46 are standing

ANALYST REVIEW
46100%

A Department of Labor analyst has the application. This is the main queue, and it is where most pending PERM cases sit.

A queue position is national and first in, first out, so none of this changes what any one case waits. Where DOL is working now is the figure that does.

Every case in DOL's disclosure files has already been decided, so none of the filing counts on this page can see a case that is still waiting. This is the other source: a per-case tracker that carries a current status. It counts 187 cases for this sponsor and 46 of them have no decision yet. Read the share against that 187, never against the lifetime filings above. Live case tracker, as of September 1, 2026

Latest filings, live from DOL

Newer than DOL's published files, so the wage and law firm aren't known yet. Each case links to its live status.

Fig 02 Position in the field 1,345 sponsors with 30+ decided

Approval rate

100.0%ahead of 33%, level with 895 more

0% 100%

Median days to decision

455 daysahead of 62%

5d 1152d
Each bar counts sponsors at that value. Sponsors with fewer than 30 decided cases are left out of the population rather than plotted, because a rate over a handful of cases lands wherever the handful landed. The line marks this one. DOL PERM disclosure files

What they file, and where

A rank says how much. It says nothing about what the work is, which is the part a job offer from this sponsor actually turns on.

What the jobs are

Medical and Clinical Laboratory Technologists

SOC 29-2011.00 · 126 filings, 99% of everything they file · 100.0% approved

These are the 2 occupations with the most filings, 127 of 127 cases between them. The occupation on a PERM is the SOC code on the form, which is the job as DOL classifies it rather than the job title on the offer. DOL still accepts two SOC vintages, so one job can appear twice under two codes; the code is printed for exactly that reason.

Where the jobs are

  • Virginia 127

The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. This state covers 127 of 127 filings.

Who files for them

  1. MusilloUnkenholt, LLC 127 filings · 100.0% approved

The law firm named on the application. 127 of 127 filings, 100% of the total.

Against the sponsors ranked nearest

The 120 sponsors ranked nearest this one filed between 103 and 170 filings. Their median wait is 471 days, and this one sits 16 days ahead of that. No approval rate is given for the band. A band is a slice of the volume ranking rather than a population picked for having enough decided cases, so a band rate would be solid at the top of the list and noise at the bottom, under one heading.

Where this sits in the ranking

Ranked 294 of 71,512 by volume: 293 filed at least as many filings, and 71,218 filed no more.

Just above
Runnells Operating, LLC. 128 filings
Just below
Boston Scientific Corporation 127 filings

Sponsors filing at the same rate

The sponsors ranked either side of this one, which is the same as saying they file about as many PERM cases a year. Worksite state isn't carried per employer in this data, so these are volume peers rather than neighbours; filings by state are on the state map.

What this rank counts, and what it doesn't

DOL prints the name that went on the form, so one sponsor can appear under several. The entry below start the same way and were not merged, because the difference between them is more than a mistyped letter. Some may be the same sponsor; some are a different one. Rank #294 counts this page's cases only.

1 filing sit on those pages rather than this one. The methodology has the rule that decides which spellings merge.

What these numbers don't say

The wage is the job, not the payer
The median offered wage moves almost entirely with what roles they file. A software developer and a poultry cutter are different numbers wherever they are filed, so this figure is not plotted against the field and no percentile is given for it: that comparison would rank occupation mix and call it pay. Wages by occupation are on the wages page.
Volume doesn’t change the wait
DOL works a single national queue, oldest first, whoever filed the case, so a company with four thousand filings waits exactly as long as one with three.
The name is a legal entity
DOL prints whatever went on the form. A group that files through several subsidiaries appears as several rows, and one that files everything through a parent appears once, so a rank is a rank among printed names rather than among companies.
A median over 126 decided cases
The queue is national and first in, first out, so this figure follows when the cases were filed as much as it follows the sponsor.
Two sources, and they do not add up
The filing counts come from DOL's disclosure files, where every row already carries a decision date, so nothing pending is in them. The queue figures come from a live per-case tracker with its own coverage and its own as-of date. Subtracting one from the other gives a number that means nothing. Where the queue stands overall is on the processing times page.

The window these figures cover

DOL's FY2026 Q3 and FY2025 Q4 and New Form FY2024 Q4 and FY2024 Q4 PERM disclosure files, unioned and de-duplicated by case number: 373,939 cases. Every case in them carries a decision, so nothing here counts what’s still pending. How each figure is built, and what it can and can't answer, is set out in the methodology.

Your case is with them?

The decision estimator reads your filing month against where DOL is now.

Comparing sponsors?

The full ranking sorts every column, and wages by occupation covers what the roles pay.

Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly

Employers and firms: Derived from the disclosure corpus · data through Aug 26, 2026 · rebuilt with each quarterly ingest

Per-case statuses: flag.dol.gov/recaptcha/caseStatus (DOL, direct) · data through Sep 1, 2026 · daily